HomeMy WebLinkAbout97-06632
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, Departmlnl 01 Ihl Trl"ury . Inlernll Revenue Service
Form 888(Z)
(Rove-.1) Certificate of Release of Federal Tax Lien
Dlelrlct Serl.1 Number For u.. bY Recording Offlce
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I c8l11fy thetlhe 'oIlOwlng-n.med Iaxpayer. under the requirement. of ..cllon 8325 (e)
of \he Interne' Revenue Code h.. .allefled the Iaxe. lI.ted belo... .nd .11 .talutory
eddltlon.. Ther.fOA, the lien provided by Code .ecllon 8321 lor th... t.... .nd " .'"') "
.ddltlon. ha. bHn rele..ed. The proper officer kI \lI.., 911f1\:, wllere the noUee of :.:) I
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In18~I..-nua tax lI.n w.. IIhtd on . . , 1<IJ
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" KInd of TI. TlX Period Ended Identifying Humber Oat. of Lalt Day lor Unpaid Balance of
(a) (IJ) (a) ".....m.nt Reflllng "..u.ment
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This notice was prepared and signed at
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(NOTE- Car/Jflcat" oJ oItic~ duthcn,red oy law to I." .anowledgmtn~ J' not ....."h.1 to the validly 01 Certlfic.f. oJ R~tMU oIF__raJ r....1IM1 R#V. RuI, 'Ir..uJS. fi7'.2 cs. 401)
PAA1' 1 . RECORDINO OFFICE
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Form 868 (V) (c)
(Rev, October 1993)
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Dep.-tment 01 Ihe Tro..ury . Inlornal Revanue Sarvlc.
Notice of Federal Tax Lien
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Serial Number
For Optlon,' VII by Rlcordlng OlllcI
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! A. provld.d by ..cllon. 8321, 8322, and 8323 of the Internal Revenue
j Cod., W. .11 giving. nollc. that texes (Including Interest end peneltles)
, h.v. b..n .......d .galn.tthe following-named taxpayer. We have made
I . d.m.nd for paym.nt of thl. liability, but It remain. unpaid, Therefore,
I \h.1I Ie . lI.n In f.vor of th. United Statu on all properly and rights to
I prop.rty b.longlng to thl. taxpayer for the amount of these taxes, and
! .ddltlonal p.nalll.a, Intar..t, and cost. thet may eccrue.
INam. of T.xpay.r
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(a)
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Last Day for Unp.ld B.lane.
Reflllng of A.....m.nt
(8) (f)
IMPORTANT RELEASE INFORMATION: For each assessment listed below,
unless notice of lien Is reliled by the date given in column (e). this notice shall.
on the day following such date. operate as a certificate of release as defined
InIRC~25(8)JI' ..." . '" i,' _..
TalC Parlod Date of
Ended Idenllfylng Number Assessment
(b) (c) (d)
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:Thls noUce was prepared and signed at
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Signature
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(NOTE: C'tllflcaL Jr offlClr IlJlhorlud b~ law ID lak. acknowlllldgm.ntllS not fSuntlallo the validity 01 Nolle. or F.d.ral Tull.n
Rev. Rul. 71.,e9, 1971 .2 C,6, 40S)
Part 1 . Kept By Recording OffiCI
Form 868 (V) (e) (Rev. 10/93)
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